Clinic
Baptist Health Medical Group INC
Baptist Health Medical Group INC was paid $1.59M by Medicaid between Jul 2019 and Dec 2024, across 29 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 68% of everything it billed.
33Billing provider infoBAPTIST HEALTH MEDICAL GROUP INC
RICHMOND, KY 40475
RICHMOND, KY 40475
33aNPI1740758325assigned 11/13/2018
33bProvider typeRural Health Clinic/Center
28Total paid$1.59M
24GClaims39,677
24DCodes billed29
24AFirst – last monthJul 2019 – Dec 2024
Compared with peers
Next to other Rural Health Clinic/Center providers in Kentucky
Rank by total paid#35 of 265
Median peer was paid$400K
This provider vs. median4.0×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Entity ProliferationAuthorized official CLAY, DANYEL controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2019 | 3,302 | $130K | |
| 2020 | 6,587 | $275K | |
| 2021 | 9,270 | $352K | |
| 2022 | 8,095 | $332K | |
| 2023 | 7,583 | $285K | |
| 2024incomplete | 4,840 | $219K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 68% | 23,035 | 20,154 | $1.08M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 16% | 8,239 | 7,422 | $261K |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | 5.6% | 1,847 | 1,501 | $88K |
| 99308 | Subsequent nursing facility care, per day, straightforward | 4.6% | 2,428 | 2,228 | $74K |
| 90792 | Psychiatric diagnostic evaluation with medical services | 1.2% | 280 | 253 | $20K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | <1% | 383 | 307 | $15K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 724 | 704 | $10K |
| 90686 | <1% | 616 | 601 | $9K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 147 | 146 | $9K |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | <1% | 98 | 66 | $6K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | <1% | 40 | 39 | $4K |
| 87428 | <1% | 100 | 96 | $3K |
17 more codes
| 90674 | <1% | 117 | $3K | |
| 99318 | <1% | 51 | $2K | |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 80 | $1K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 12 | $1K |
| 96127 | <1% | 286 | $1K | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 18 | $1K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 63 | $829.81 |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 117 | $751.28 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | <1% | 88 | $678.33 |
| 99442 | <1% | 36 | $551.62 | |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 20 | $353.04 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 13 | $217.20 |
| 90656 | <1% | 12 | $206.35 | |
| 3008F | <1% | 265 | $0.17 | |
| 2014F | <1% | 264 | $0.12 | |
| 1159F | 0% | 149 | $0.00 | |
| 1160F | 0% | 149 | $0.00 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialCLAY, DANYEL (DIRECTOR, REVENUE CYCLE)
Parent organizationBAPTIST HEALTH MEDICAL GROUP INC
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.